Individual
SIOBAN PAULINE MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 E FLORIDA AVE, MELBOURNE, FL 32901-8301
(321) 984-4600
Mailing address
1345 N HIGHWAY A1A APT 610, INDIALANTIC, FL 32903-2765
(321) 368-0292
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
201799
NY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME83950
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01692704
—
NY
05
—
021520500
—
FL
05
—
274318300
—
FL
Enumeration date
06/16/2005
Last updated
05/01/2026
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